Active NPI
Maureen Romanow Pascal, P.T.
- Physical Therapist
- Forty Fort, PA
National Provider Identifier
1134483357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011884L
- Practice address
- 1785 Murray St
Forty Fort, PA 18704-4324 - Phone
- (570) 714-8634
- Fax
- (570) 674-1452
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011884L | PA | Primary |
Addresses
Primary practice location
1785 Murray St
Forty Fort, PA 18704-4324
Mailing address
1785 Murray St
Forty Fort, PA 18704-4324
Phone (570) 714-8634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011884L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1134483357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 MURRAY ST",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "187044324",
"telephone_number": "570-714-8634",
"fax_number": "570-674-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 MURRAY ST",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "187044324",
"telephone_number": "570-714-8634",
"fax_number": "570-674-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCAL",
"first_name": "MAUREEN",
"middle_name": "ROMANOW",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011884L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forty Fort, PA
- Nepa Homecare Inc (Visiting Angels)
- Northeastern Surgical Specialty Group Inc
- Thomas Allen Olaviany, DPM
- Radu I Pacurariu, MD
- Noelle Monique Parker
- Alan Petroski, PHD
- Kari Ann Pietralczyk, AUD, CCC-A
- Kathryn Werner Pokrifka, PSY.D.
- Radiation Medicine Specialists of Northeast Pennsylvania P C
- Stanley Raijski
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.